Image 1: 60 year old male with shortness of breath

Written by: Salaheldin Abusin, MD, MRCP. Resident in Internal Medicine, Chicago, IL, USA
Reviewed by: Omer A. Elamin, MD, FACC. Interventional Cardiologist, Yakima, WA, USA 

click to enlarge

Case Description:
60 year old male with history of coronary artery disease, congestive heart failure with ejection fraction of 35%, presents to the emergency room with worsening  shortness of breath and palpitations. The above ECG was done (click to enlarge).

  1. What is the rhythm?
 

cforms contact form by delicious:days